Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $23.85 / $149.80	Facility		$8.44	$23.85	$149.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $13.04 / $32.76	Professional		$7.23	$13.04	$32.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $7.53 / $7.53	Professional		$5.78	$7.53	$7.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $37.84 / $68.69	Facility		$13.26	$37.84	$68.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.39 / $11.81	Professional		$5.00	$6.39	$11.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.07 / $27.11	Facility		$12.05	$18.07	$27.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.85 / $19.28	Professional		$8.44	$10.85	$19.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Facility		$78.56	$78.56	$78.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $17.62 / $54.36	Facility		$7.77	$17.62	$54.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.82 / $22.81	Professional		$4.94	$6.82	$22.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $60.00 / $60.00	Facility		$23.69	$60.00	$60.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $12.05 / $13.26	Facility		$9.03	$12.05	$13.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.05 / $13.26	Professional		$10.85	$12.05	$13.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,007.60 / $1,007.60 / $1,007.60	Facility		$1,007.60	$1,007.60	$1,007.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $12.05 / $16.75	Facility		$8.40	$12.05	$16.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $11.31 / $12.71	Professional		$6.20	$11.31	$12.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $7.23	Professional		$5.05	$5.05	$7.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.82 / $12.05	Professional		$4.70	$4.82	$12.05